Patient Forms

Please complete these forms if you haven't already.

New patient forms

New patients need to complete the following forms before being seen.  Save time by printing and completing them at home, or arrive 30 minutes early and fill them out at home.

Short-term Disability forms

These forms are usually provided by your employer or insurance company. In an effort to streamline the process of completing the large volume of forms we receive daily, we are unable to complete short-term and long-term carrier-specific forms. Instead, we will attach to your form a computer-generated form, which will provide all the information that your insurance carrier is requesting. It may take up to five or seven business days to process your form. There are several ways you can get these forms to the administrative assistant for your doctor or mid-level provider:

Fax the form(s) to (919) 863-6821

Mail the form(s) to 3001 Edwards Mill Road, Raleigh, NC 27612

Bring the form(s) to any office location

 It would expedite completion of your form, if you would download the Short-Term Disability/FMLA Cover Sheet, complete it in full and sign it, then submit it with your form(s).

Consent for Release of Medical Information Short Term Disability Form

Surgery instructions

  • Surgery Instructions and Info – guidelines for how to prepare for your procedure, as well as contact information for staff members who can answer your questions
  • Post-op Instructions – how to have the smoothest recovery for any surgery performed by Dr. Wein, including:
    Thumb CMC arthroplasty
    Distal radius ORIF
    Epicondylitis debridement
    Ulnar nerve transposition
    Ganglion cyst
    Subtomal palmar fasciectomy
    Tendon repair
    ORIF hand fracture
    Carpal tunnel release
    In situ ulnar nerve decompression
    Trigger finger release
    Dequervain’s release